Fluoride varnish coverage for Fallon MassHealth members

As you may be aware, effective October 1, 2008, physicians and other qualified health care professionals may now apply fluoride varnish to eligible Fallon MassHealth members  under age 21. This procedure would occur during a pediatric preventive care visit. The goal is to increase access to preventive dental treatment in an effort to prevent early childhood cavities in children who are at moderate to high risk for dental decay.

Eligibility for fluoride varnish application is primarily intended for children up to age three, but is allowed for children up to age 21 who don’t have access to a dentist.

Providers seeking to apply fluoride varnish to MassHealth children under the age of 21 are required to complete a MassHealth-approved training program. Providers have the option of completing:

  • a MassHealth-approved self-administered Web-based training;
  • a MassHealth-approved instructor-led training session; or
  • a program sponsored by the Department of Public Health’s Office of Oral Health, targeted to community health centers.

Providers must maintain proof of completion of the training (CME credit documentation or certificate) and provide such documentation to MassHealth upon request.

To learn more about the approved MassHealth training opportunities, please visit www.mass.gov/masshealth/fluoridevarnish.